jayebird28

Im in the same boat. Took my test Friday, got my quick results yesterday. I want that license number soooo bad so I can start filling out applications! Im in Florida and I was told it only takes a couple of days....impatiently waiting.

Thanks! I really appreciate it. I just NEED to know! Lol Everyone I know keeps saying Congrats and that I passed...but Im not convinced yet.

Well, I took the NCLEX-RN this morning at 0800. I had 75 questions. I walked out around 0900 feeling completely defeated. It was unlike anything I have ever experienced. I was shocked at the amount of SATA and med questions...meds that I have never even heard of! I was so scared....still am. I got the good pop-up after only 45 minutes of completing the test. I jumped for joy and cried my eyes out on my best friends shoulder. Now that Im home and marinating on it all, Im starting to panic again. I really hope that the trick is accurate. I busted my tail studying for it and I was an excellent student but that was soooo tough. Im gonna make myself insane. Does anyone know if the quick results are TRUE 48 hours,, or business 48 hours? I took it today so I'm hoping that it'll be available by Sunday morning. Sorry for ranting. I'm a little stressed.

I am in the Dale Mabry program and I had a 3.7 when I got accepted. I don't think it matters whether you go to Plant City or DM.... you just have your "pick" and hopefully you get our first choice. I'm not familiar with Erwin or SPJC. Good luck with whatever decision you make. Oh--- and my instructors at DM have been AMAZING!!!!

Thank you so much for your help and your advice. I do want to say that I guess I need to be a little more specific when posting to the board. I do TONS of research. I am a learning machine. I knew about every one of the meds and why he was taking them. I don't go anywhere without my Drug book. I was also alarmed at his BP. I guess I am just getting confused as to where my role begins and ends as a nursing student. He was in pain and he told me that he already told the nurse. I guess my issue is that he was sitting there in pain with no pain relief. Why couldn't the nurse give him something or contact his doctor? Also, the vitals were charted and his nurse had already reviewed them....why hadn't she done anything about his BP? I guess my main concern is stepping on toes while I am at the hospital and ******* people off. I know that I don't know how things run yet in the hospital setting but as I go through my care plan all of these questions are just swirling around in my head. Anyway, I hope all of that made sense. Thank you so much for replying to me. You always out do yourself. Oh and by the way... You had great advice on my last care plan for CHF and I passed with flying colors, so...THANK YOU!!!

Ok... I need to know if I am on the right track. This is my second care plan and I am a first semester student. This one I am finding a bit difficult. The patient is an 81 year old male who was admitted with a medical diagnosis of falls and weakness. He fell while at home and his wife brought him in. He has a PMH of Diabetes, CHF, HTN, pacemaker, dysrhythmias, spinal fusion, cataracts bilateral, overactive bladder, peripheral neuropathy. His meds include Enalapril, Furosemide, Glimepiride, Insulin Aspart, Metoprolol, Solifenacin, and Terazosin. Here is my head to toe assessment: Patient sitting in a high Fowlers' position in chair next to bed; strong smell of urine ( bed was saturated); A&O x 3; skin warm & dry (his wife had cleaned him up after he wet himself); lungs clear, abdomen soft with bowel sounds x 4; No skin breakdown; bruising on right wrist with swelling; equal radial and pedal pulse; vitals: 198/108; Temp 98.4; P 60; R 18. The 3 diagnosis I want to use are: Acute pain r/t injury from fall at home aeb swollen, discolored wrist and patient states pain score is 7. I only had a few hours with this patient and my issue with this is that he had no pain meds prescribed. Is this normal? What am I missing here. So should I still use this diagnosis even though there is no pain management with meds. I didn't see his nurse do any type of pain management honestly. Impaired urinary elimination r/t incontinence risk for impaired skin integrity r/t moisture from urinary incontinence. Am I on the right track?

She is taking the Namenda for the dementia.

You never cease to amaze me. I have read several of your replies to other students and you are always so helpful! Thank you, thank you, thank you. It's nice to have someone looking out for the underdogs!

Yes, snydayz, you helped out alot. I think that I may be overthinking this care plan and trying to make it more difficult than it actually is. I have a tough clinical instructor so i am trying to make sure I have everything covered!

I am a first semester nursing student attempting to do my first care plan. Our clinical instructor informed us that our first care plan is due by our next clinical day and we all freaked out and started writing down as much info as possible on our patient for the day. Here is all of the info: 88 Y Female Admitting Dx: CHF/Altered Mental Status Vitals at 0700: temp-96.4; R-9; P-102; BP 126/74 Vitals at 1130: temp-97.8; R-12; P-74; BP-145/92 She was on Aspiration precautions, had NKDA, Regular Diet, Daily weights, I&O, Bedrest, Foley, Fall Precautions. Past Medical History: Arthritis, Depression, CAD, Hypokalemia, Demetia, C-section, legally blind MEDS: Prilosec, Zoloft, Namenda, Darvocet, Os-Cal, Lasix, Vasotec. My assessment: A&O x2(doesn't know where she is) ALso... it was very tough communicating with her because of her mental status and she is Spanish speaking. no JVD, good cap refill, Crackles heard in left lung; distals pulses felt in radials; nothing felt in pedals; good skin color; no signs of skin breakdown; edema 1+ possibly 2+. I&O on 3/10 were: I: 100; O: 1300----- on 3/11 were I:500; O:400 Labs: NA 145 K 3.6 CO2 32 BUN 26 Creatinine 0.84 B-NP 42 Neutrophils 36.46 Lymphocytes 49.22 PTT 22.8 I have more lab values so let me know if more are needed. Anyway, this is what I have so far as far as Nursing Diagnosis go: (we need two pathophysiological and one psychosocial) I'm not sure which ones work the best and they also need to be prioritized. Opinions please!! Decreased Cardiac Output r/t ? I'm not sure what to put here because I didn't get to see any reports from the diagnostic tests. Could I put r/t altered heart rate? I am so confused. Activity Intolerance r/t bedrest or I can put r/t imbalance between oxygen supply and demand. Impaired Verbal communication r/t inability to speak language of caregiver and /or altered mental status. I really would have rather used one of my previous patients but I didn't have the lab values and other pertinent information to complete my care plan. This patient was admitted on 3/10 and was discharged on 3/11 (my clinical day) so I don't have much to go on. When I arrived she was on room air, fatigued, no IV fluids... I have no idea what was done to her the day before. Am I setting myself up for disaster on this one? I don't want to make anything up so I just need some guidance to see if I'm on the right track.